Difference between revisions of "After event review"
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'''Source:''' [[Planning and Execution of Knowledge Management Assist Missions for Nuclear Organizations]] | '''Source:''' [[Planning and Execution of Knowledge Management Assist Missions for Nuclear Organizations]] | ||
== Summary== | == Summary== | ||
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== Description== | == Description== | ||
After event review includes analysis in sufficient depth to determine contributing | After event review includes analysis in sufficient depth to determine contributing | ||
factors (including behavioural, organizational and physical conditions), precipitating actions, | factors (including behavioural, organizational and physical conditions), precipitating actions, | ||
− | consequences, probable causes, learned lessons, and corrective actions to minimize | + | consequences, probable causes, [[Lessons learned|learned lessons]], and corrective actions to minimize |
recurrence. In the nuclear industry, organizations focus attention on such problem-solving | recurrence. In the nuclear industry, organizations focus attention on such problem-solving | ||
endeavours, through systematic and systemic analyses, to determine the most probable root | endeavours, through systematic and systemic analyses, to determine the most probable root |
Revision as of 12:29, 14 August 2013
Definition
After event review is A process that involves consideration of the what, how and why of events Source: Planning and Execution of Knowledge Management Assist Missions for Nuclear Organizations
Summary
Description
After event review includes analysis in sufficient depth to determine contributing factors (including behavioural, organizational and physical conditions), precipitating actions, consequences, probable causes, learned lessons, and corrective actions to minimize recurrence. In the nuclear industry, organizations focus attention on such problem-solving endeavours, through systematic and systemic analyses, to determine the most probable root causes of such events in order to correct problematic conditions and to prevent recurrence of similar events.
Source: Planning and Execution of Knowledge Management Assist Missions for Nuclear Organizations